NIKITA R SHAH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049143022

License Status

NOT RENEWED

Business

First Name

NIKITA

Middle

Last Name

SHAH

Business Name

NIKITA R SHAH

Original Issue Date

06/06/2002

Effective Date

04/08/2010

Expiration Date

03/31/2011

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2011